Donna Sue Blaney, NON-AGENCY PROVIDER

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

License

DOES NOT APPLY Issued in OH

Practice address

68205 Commercial Dr
Apt. H2
Bridgeport, OH 43912-1566

Phone

(740) 633-0258

NPI assigned

Aug 11, 2006

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1396756599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63321 S JOHNSON RD",
            "city": "BETHESDA",
            "state": "OH",
            "postal_code": "437199703",
            "telephone_number": "740-484-1180",
            "fax_number": "740-484-1180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68205 COMMERCIAL DR",
            "address_2": "APT. H2",
            "city": "BRIDGEPORT",
            "state": "OH",
            "postal_code": "439121566",
            "telephone_number": "740-633-0258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANEY",
        "first_name": "DONNA",
        "middle_name": "SUE",
        "name_prefix": "Mrs.",
        "credential": "NON-AGENCY PROVIDER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-11",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "OH",
            "license": "DOES NOT APPLY",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2284880",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.